Spontaneous intraperitoneal rupture of hepatic hydatid cyst with biliary peritonitis: a case report

Ray, Sukanta; Das, Kausik

doi:10.4076/1757-1626-2-6511

Cited by 9 publications

(8 citation statements)

References 8 publications

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“…Risk factors include young age, a cyst diameter of more than 10 cm, and superficial cyst location [ 5 ]. Rupture of cysts is unpredictable and can occur spontaneously [ 10 – 12 ], as a result of trauma [ 5 , 6 , 13 , 14 ] or iatrogenically. Trauma is the most frequent cause [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Intraperitoneal Rupture of a Hepatic Hydatid Cyst with Subsequent Anaphylaxis: A Case Report

Tinsley

Abbara

Kadaba

et al. 2013

Case Reports in Hepatology

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Hydatid cyst rupture into the abdomen is a serious complication of cystic hydatid disease of the liver (Cystic Echinococcosis) with an incidence of up to 16% in some series and can result in anaphylaxis or anaphylactoid reactions in up to 12.5% of cases. At presentation, 36–40% of hydatid cysts have ruptured or become secondarily infected. Rupture can be microscopic or macroscopic and can be fatal without surgery. Hydatid disease of the liver is primarily caused by the tapeworm Echinococcus granulosus and occurs worldwide, with incidence of up to 200 per 100,000 in endemic areas. Our case describes a 24-year-old Bulgarian woman presenting with epigastric pain and evidence of anaphylaxis. Abdominal CT demonstrated a ruptured hydatid cyst in the left lobe of the liver. A partial left lobe hepatectomy, cholecystectomy, and peritoneal washout was performed with good effect. She was treated for anaphylaxis and received antihelminthic treatment with Albendazole and Praziquantel. She made a good recovery following surgery and medical treatment and was well on follow-up. Intraperitoneal rupture with anaphylaxis is a rare occurrence, and there do not seem to be any reported cases from UK centres prior to this.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Intraperitoneal Rupture of a Hepatic Hydatid Cyst with Subsequent Anaphylaxis: A Case Report

Tinsley

Abbara

Kadaba

et al. 2013

Case Reports in Hepatology

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“…Infection with echinococcal organisms is the most common cause of liver cysts worldwide [8]. Dogs are the definitive hosts; whereas domestic ruminants (sheep, cattle) and,human are intermediate hosts.…”

Section: Discussionmentioning

confidence: 99%

Acute intraperitoneal rupture of hydatid cysts: a surgical experience with 14 cases

et al. 2013

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IntroductionHydatidosis is endemic in the Mediterranean region including morrocco, the Middle and Far East, Australia, New Zealand, and South America—all areas where animal husbandry is common. Rupture into the abdominal cavity is a rare but serious complication of hydatid disease. The cysts may be ruptured after a trauma, or spontaneously as a result of increased intracystic pressure. Rupture of the hydatid cyst requires emergency surgical intervention.MethodsFourteen patients received surgical treatment for intraperitoneal rupture of the cysts over a period of 5 years. Age, gender, time to surgery from the onset of the symptoms, laboratory findings, diagnostic procedures, surgical treatment modalities, in-hospital stay, morbidity, mortality and recurrence were evaluated retrospectively.ResultsEight of the patients were men and six were women. All of the patients had signs of peritoneal irritation. One patient (7,14%) had a history of blunt abdominal trauma. Ultrasonography scans revealed intra-abdominal fluid in all cases, intraperitoneal multiple cysts in 11 cases and heterogeneous cavity or cystic structures in the liver in 12 cases. Computed tomography showed multiple cystic lesions in the liver and peritoneum with intra-abdominal free fluid. The ruptured cysts were located in the right lobe of the liver in seven patients, in the left lobe in six patients and in both lobes in one patients. Procedures to fill the cystic cavities were applied after removal of the intraperitoneal fluid. Partial pericystectomy and drainage was the most frequent surgical procedure. No patients died in the early postoperative period. A total of seven morbidities developed in six patients (35.3%). Median hospital stay was 08 days and median follow-up was 12 months. Intra-abdominal recurrence occurred in one case (7.7%).ConclusionsRupture of hydatid cysts into the peritoneal cavity, although rare, presents a challenge for surgeons. This pathology should be included in the differential diagnosis of acute abdomen in endemic areas. The operative procedures, either radical or conservative, should be based on the patient’s condition, the regional characteristics, and the surgeon’s experience. The morbidity and mortality rates of surgical interventions for ruptured hydatid cysts are higher than the rates for elective uncomplicated cases.

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“…But simultaneous involvement of liver and lung is rare and in such cases right hemi-thorax is most commonly involved. Most common cause of liver cyst all over world is hydatid disease with right lobe being most common location 6 .…”

Section: Discussionmentioning

confidence: 99%

Radiological Imaging in Transdiaphragmatic Extension of Hepatic Hydatid Cyst-A Case Report

2015

IJSR

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Thoracic extension of hepatic hydatid disease through transdiaphragmatic route occurs as rare but serious complication. We report a case presented as pleural effusion with consolidation on X-RAY and diagnosis of transdiaphragmatic rupture of hepatic hydatid was suspected on USG abdomen and confirmed by CT. Transdiaphragmatic thoracic involvement is one of the important to recognize as it ranges from simple to life-threatening complications. Diaphragmatic tear will be suspected on ultrasonography but CT is most important in showing defect. Transdiaphragmatic extension of hepatic hydatid is important to diagnose due to serious consequences like infection or destruction of surrounding structures. Radiological imaging in hepatic hydatid plays major role in diagnosing complications and planning management.

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Spontaneous intraperitoneal rupture of hepatic hydatid cyst with biliary peritonitis: a case report

Cited by 9 publications

References 8 publications

Spontaneous Intraperitoneal Rupture of a Hepatic Hydatid Cyst with Subsequent Anaphylaxis: A Case Report

Spontaneous Intraperitoneal Rupture of a Hepatic Hydatid Cyst with Subsequent Anaphylaxis: A Case Report

Acute intraperitoneal rupture of hydatid cysts: a surgical experience with 14 cases

Radiological Imaging in Transdiaphragmatic Extension of Hepatic Hydatid Cyst-A Case Report

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